Individual
DR. DANIELA WALDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
554 S SAN VICENTE BLVD STE 108, SUITE D, LOS ANGELES, CA 90048-4652
(310) 228-8383
Mailing address
554 S SAN VICENTE BLVD STE 108, SUITE D, LOS ANGELES, CA 90048-4652
(310) 228-8383
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18702
CA
Other
Enumeration date
05/19/2006
Last updated
12/27/2012
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